Piercing Consent Form

Piercing Consent Form
I voluntarily give my full consent to body piercings carried out by MONSTERS DEN TATTOO SHOP LLC practitioner. I am informed about possible side effects and complications of body piercing procedures such as infection and swelling. I understand and agree that it is my responsibility to read and follow the instructions about procedures and aftercare.

I confirm that the information that I provide in this consent form is complete and accurate.
Please acknowledge the following items:*

I do not have symptoms of COVID-19 and accept to follow the rules of the shop during my appointment.I have not contacted to anyone who may have symptoms of COVID-19 or get infected by the virus within 14 days.I understand that I am responsible for the any touch-up work due to my fault, negligence or carelessness.I understand that there is a possibility to get an infection if I will not follow the instructions.I accept that having a piercing services is my voluntary choice.I inform that I am not under the influence of drugs or alcohol.I understand that the procedure causes a permanent change to my skin and body.I do not have any mental or medical disability that may affect my wellbeing as a result of having piercing procedure.I release the shop, its administrators, practitioners, stakeholders and workers from any and all of the claims, expenses, liabilities and damages.I am aware that permanent cosmetic inks,dyes, and pigments have not been approved by the federal food and drug administration and that the health consequences of using these products are unknown.
Client Information
Take a picture of your ID

Cancelof
Signed Date

MonthDayYear
Date
Client Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
What kind of Piercing

HOW DID YOU HEAR ABOUT US *

	✔️
Google
Yelp
Instagram
From a Friend
Billboard
Facebook
Walk-in

Should be Empty:

Piercing Consent Form

Client Information